| NPI | 1437381142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 50-057816) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN18840) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2015-04-17 |